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CITY OF EVERETT <br />Application and Gas Installation Permit <br />All Work to be Done in Accordance with �'' <br />-: > - City Ordinance , �. _ <br />Everett, Washington .....�....... ...T...�...i....', 19�.0 <br />a'/ ._ N : O <br />Location---.. 7.7-Q..�...--�-�-�ff�� � ��_ --. . .. l-'l.r'... <br />.... <br />Owner..... ,l.�1:T.I�c(.."`.:!�:'� �'L:5'.-1 ... ........ <br />i <br />.� �,��<.'. _ ._.'�T. ...y :_ �._,...! <br />{ <br />Applicant�.......----• .......:........... ...........::..........:.........:..... <br />Rough piping inspection � <br />Pfpe in e'Fess of, 60; , - Gas Stoves _ <br />� <br />Gas_ refrig,erafors _�_.— ,Gas.water heaters <br />Gas space heaters to 70,000 B.T.U. input <br />--;� . _ __ _ <br />Gas space heaters over 70,000 B.T.U. input <br />Gas fumac�5" to 400,000 B.T.U. input <br />Gas fumaces over 400,OOU.B T.U. input __ _ <br />.1�..�-. �/ <br />Canversion units to 400,000 B.T.U. input --.L�.-- <br />Conversion units c+ver 400,000 B.T.U. input _ <br />Small appliance� —_ _ <br />�. � i o <br />i ..,,�_-'�------------- <br />iTt�„ . <br />Call Back�lnspection —___ Fee I�aid �,_�' <br />, r,.„.,: <br />_..�. ---/�--------- ---Applicant <br />BY- � c,.—�'�t�G-K� ��.Z- �----'----- <br />Plans ap�roved and Permjt �rant�d as requesfed h�Fein. <br />.r �. <br />� ' Inspector <br />. _. __-_ _ � ,� �� ���. - _ <br />BY - - -l� l � x'--= ----- - <br />PERMIT �:': `��" <br />